| Dr Kelvin G Mar, MD | |
|
9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 | |
| (425) 831-2300 | |
| Not Available |
| Full Name | Dr Kelvin G Mar |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 9801 Frontier Ave Se, Snoqualmie, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801832233 | NPI | - | NPPES |
| 00A768150 | Medicaid | CA | |
| 00A768150 | Other | CA | BLUE SHIELD |
| 00A768150 | Other | CA | CALOPTIMA |
| A76815 | Other | CA | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | A76815 (California) | Secondary |
| 207P00000X | Emergency Medicine | 44378 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Snoqualmie Valley Hospital | Snoqualmie, WA | Hospital |
| Overlake Hospital Medical Center | Bellevue, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Overlake Medical Clinics Llc | 7012808827 | 380 |
| Entity Name | Public Hospital District No 4 King County Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902846546 PECOS PAC ID: 6002700861 Enrollment ID: O20040211001236 |
| Entity Name | Ballard Emergency Physicians Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619909256 PECOS PAC ID: 1052209368 Enrollment ID: O20040309000049 |
| Entity Name | Overlake Medical Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801828421 PECOS PAC ID: 7012808827 Enrollment ID: O20040322001533 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kelvin G Mar, MD Po Box 16546, Seattle, WA 98116-0546 Ph: (206) 937-6051 | Dr Kelvin G Mar, MD 9801 Frontier Ave Se, Snoqualmie, WA 98065-5200 Ph: (425) 831-2300 |
Jonathan Halper, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2300 Fax: 425-831-2361 | |
Karen Betty Tom, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2321 Fax: 425-831-2361 | |
John Todd Huttenlocher, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2300 Fax: 425-831-2361 | |
Alan Richard Chock, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9801 Frontier Ave Se, Snoqualmie, WA 98065 Phone: 425-831-2300 Fax: 425-831-2361 | |
Dr. Charles William Korbonits Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9801 Frontier Ave Se, Emergency Department, Snoqualmie, WA 98065 Phone: 425-831-2323 Fax: 425-831-2329 | |
Jeffrey Carleton Wood, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 9575 Ethan Wade Way Se, Snoqualmie, WA 98065 Phone: 425-831-2300 Fax: 425-831-2361 |